osudhkosh

Generic

Deferoxamine

1 brands available in the market

At a glance

Deferoxamine is a parenteral iron chelator used for the treatment of acute iron intoxication and chronic iron overload due to transfusion-dependent anemias.

Description

Deferoxamine works in treating iron toxicity by binding trivalent (ferric) iron, forming ferrioxamine, a stable complex which is eliminated via the kidneys. 100 mg of deferoxamine is capable of binding approximately 8.5 mg of trivalent iron. Deferoxamine also works in treating aluminum toxicity by binding to tissue-bound aluminum to form aluminoxamine, a stable, water-soluble complex.

Indications
  • Acute iron intoxication
  • Chronic iron overload due to transfusion-dependent anemias
  • Diagnosis of aluminum overload
  • Chronic aluminum overload in End-Stage Renal Failure
Therapeutic class

Antidote preparations

Pharmacological class

Iron Chelator

Pharmacology

Deferoxamine binds trivalent (ferric) iron, forming ferrioxamine, a stable complex which is eliminated via the kidneys. 100 mg of deferoxamine is capable of binding approximately 8.5 mg of trivalent iron.

Mechanism of action

Deferoxamine binds to excess iron in the body, forming a stable complex that is excreted via the kidneys, reducing the risk of organ damage.

Dosage

Adult - Chronic iron overload: Subcutaneous or intravenous infusion. Dose is individualized. Maximum 6.0 grams in 24 hours.
Child: Dose is based on weight and clinical condition.

Administration

This medicine is given parenterally (subcutaneous, intramuscular or intravenous) by a healthcare professional. Kindly do not self administer.

Missed dose

Deferoxamine is an injection medicine given by healthcare professionals. You cannot miss a dose yourself. Do not miss your appointments with your doctor.

Side effects

Common: Flushing (sense of warmth in face, ears, neck and trunk), rash, decreased blood pressure, abdominal pain.
Serious: Visual and auditory disturbances, renal dysfunction, anaphylactoid reactions.

Precautions & warnings

Rapid IV injection (exceeding 15 mg/kg/h) has produced flushing, urticaria, hypotension and shock. Caution while driving (dizziness, visual disturbances). Caution with Vitamin C (avoid high doses in heart failure patients).

Contraindications

Hypersensitivity (except where desensitization is successful).

Drug interactions

Prochlorperazine: May lead to temporary impairment of consciousness.
Vitamin C: May enhance iron complex excretion (150-250 mg/day); higher doses produce no additional effect.
Erythropoietin: Dose adjustment may be needed.

Food interactions

It is not known whether it is safe to consume alcohol with Deferoxamine. Please consult your doctor.

Use in pregnancy

Deferoxamine may be unsafe during pregnancy. Animal studies have shown reproductive toxicity. Should only be used if hazard of acute iron intoxication is greater than teratogenic hazard.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Use in lactation

It is not known whether Deferoxamine passes into breast milk. A decision should be made whether to discontinue nursing or discontinue the drug.

Pediatric use

Pediatric dose is based on weight and clinical condition.

Geriatric use

Elderly patients require caution due to decreased renal function.

Renal / hepatic impairment

Renal impairment: Use with caution. Not recommended in severe kidney disease.
Hepatic impairment: Limited information available. Please consult your doctor.

Overdose effects

Since Deferoxamine is available only for parenteral administration, acute intoxication is unlikely to occur.

Storage conditions

Store between 15-25°C. Do not store above 25°C.

Chemical structure

Deferoxamine

Common questions

What is Deferoxamine used for?
It is used for acute iron intoxication, chronic iron overload from transfusions, and aluminum overload.
How is Deferoxamine administered?
It is given as an injection (subcutaneous, intramuscular or intravenous) by healthcare professionals.
What are the common side effects?
Flushing, rash, decreased blood pressure, abdominal pain, visual and auditory disturbances.
What precautions should be taken while taking Deferoxamine?
Avoid rapid injection, be cautious while driving, and use caution with Vitamin C.
Is Deferoxamine safe during pregnancy?
Only in emergency situations of acute iron intoxication.
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.